Individual
JENNIFER C DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1402 PERSHING HWY, SMACKOVER, AR 71762-2300
(870) 725-2220
(870) 725-2040
Mailing address
1402 PERSHING HWY, SMACKOVER, AR 71762-2300
(870) 725-2220
(870) 725-2040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD08847
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160553407
—
AR
Enumeration date
05/01/2008
Last updated
05/01/2008
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